Linjani izinga lakho likashukela egazini lokuzila ukudla (Fasting Blood Sugar Test)? Ake sifunde ngalokhu!

Wake wahlolwa igazi ekuseni ungadli noma ungaphuzi lutho? Esikhathini esiningi, udokotela angakunikeza ukuhlolwa okunjalo. Okunye ukuhlolwa okunjalo esizokhuluma ngakho namuhla 'ukuhlolwa kukashukela egazini okuzila ukudla'. Lokhu kungakutshela okuningi ngezinga likashukela emzimbeni wethu.

Kuyini ukuhlolwa koshukela egazini okuzila ukudla?

Kalula nje, lokhu ukuhlolwa kwegazi okulula kakhulu, okuvamile. Kuhlola inani likashukela egazini lakho, ikakhulukazi uma ungadlanga noma ungaphuzanga lutho amahora ambalwa. Okusho ukuthi, uma ulambile. Lokhu kubizwa nangokuthi 'Ukuhlolwa Kweglucose Yegazi Okuzila'.

Cabanga nje, lapho sivuka ekuseni ngemva kokudla ebusuku, amazinga ethu kashukela egazini avame ukuba phansi kakhulu. Yilapho-ke lokhu kuhlolwa kuzohlola amazinga kashukela egazini lakho. Kungakusiza ukuthola ukuthi unesifo sikashukela , isifo sikashukela esingaphambi kwesifo sikashukela , noma isifo sikashukela sokukhulelwa . Lokhu ukuhlolwa okubalulekile okungakusiza uhlale uqaphile impilo yakho.

Kunini lapho kudingeka sithathe lolu vivinyo?

Ngokuvamile kunezimo eziningana lapho udokotela wakho angase acele ukuhlolwa okufana nalokhu. Ake sibone ukuthi ziyini.

• Ngesikhathi sokuhlolwa kwezokwelapha kwaminyaka yonke: Iningi lethu lihlolwa umzimba wonke kanye ngonyaka. Ngaleso sikhathi, lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi izinga likashukela egazini lishintshile yini ngokuhamba kwesikhathi. Lokhu kungasiza ekutholeni noma yiziphi izinkinga kusenesikhathi.
• Kwabomama abakhulelwe: Ngezinye izikhathi, isifo sikashukela singakhula ngenxa yezinguquko zamahomoni ngesikhathi sokukhulelwa. Lokhu kubizwa ngokuthi "Isifo Sikashukela Sokukhulelwa." Kubalulekile ukuqiniseka. Sithinta impilo yengane kanye nempilo kamama, ngakho-ke kuhle ukwazi kusenesikhathi.
• Uma unezimpawu zesifo sikashukela: Odokotela batusa lokhu kuhlolwa uma unezimpawu zesifo sikashukela (njengokoma njalo, ukuchama njalo, ukwehla kwesisindo, ukuphola kancane kwamanxeba), uma othile emndenini wakho (njengomama wakho, ubaba, izingane zakini) enesifo sikashukela, noma uma unezinye izici eziyingozi zokuba nesifo sikashukela (isibonelo, ukukhuluphala ngokweqile, umfutho wegazi ophakeme, i-cholesterol ephezulu).
• Uma izinga likashukela egazini lakho beliphezulu ngaphambilini: Uma izinga likashukela egazini lakho beliphezulu kancane kunokujwayelekile ekuhlolweni kwegazi kwangaphambilini, ungase ucelwe ukuthi uphinde wenze lokhu ukuze uqinisekise.

Into ebaluleke kakhulu okufanele uyazi ukuthi lesi isigaba sangaphambi kwesifo sikashukela , isifo sikashukela sohlobo 2, kanye nesifo sikashukela sokukhulelwa.Lezi zimo zingase zingabonisi zimpawu ezigabeni zokuqala. Lokhu kusho ukuthi ungase ungazi ukuthi unalesi simo, noma ngabe unaso. Yingakho kubalulekile ukuhlolwa njalo.

Uzilungiselela kanjani lokhu kuhlolwa ushukela egazini ngokuzila ukudla?

Asikho isidingo sokulungiselela lokhu. Kulula kakhulu. Akufanele udle noma uphuze lutho (ngaphandle kwamanzi) cishe amahora angu-8 kuya kwangu-12 ngaphambi kokuhlolwa. Udokotela wakho uzokutshela ukuthi kufanele uzile isikhathi esingakanani.

Ngokuvamile, uma uqeda ukudla cishe ngo-8pm, ngeke udle noma uphuze lutho kuze kube ngakusasa ekuseni (amanzi amancane alungile) kuze kube yilapho ukuhlolwa kwenziwa ngo-8am. Lokho kusho ukuthi ubulokhu uzila ukudla amahora angu-12. Kubaluleke kakhulu ukulandela lokhu ngokucophelela ukuze uthole umphumela onembile. Lokhu kungenxa yokuthi uma udla noma uphuza noma yini (ngaphandle kwamanzi), ingashintsha amazinga kashukela egazini lakho futhi ikunike ukufundwa okungalungile.

Kwenzekani uma ubhala isivivinyo?

Lokhu kufana nokunikela ngegazi ngendlela evamile.

Ngokuvamile, umuntu oqeqeshwe ukudonswa kwegazi, obizwa ngokuthi i-phlebotomist (umhlengikazi noma uchwepheshe elabhorethri), usebenzisa inalithi encane ukukhipha igazi emthanjeni ongaphakathi kwengalo yakho, ngaphezu nje kwendololwane yakho. Isampula yegazi bese ithunyelwa elabhorethri ukuze ihlolwe. Lokhu kungase kuzwakale njengokulunywa yintuthwane encane, kodwa kuzophela ngemizuzwana embalwa.

Ngezinye izikhathi, udokotela wakho angase akuhlabe ngenaliti encane (ebizwa ngokuthi i-'lancet') bese ethatha ithonsi legazi ukuze ahlole izinga likashukela egazini lakho. Basebenzisa i- 'Blood Glucose Monitor' kanye ne-'test strip' ukwenza lokhu. Ngale ndlela, ungathola imiphumela ngokushesha, ngaphansi komzuzu.

Singazi nini imiphumela?

Imiphumela yokuhlolwa kukashukela egazini okuzila ukudla okuthunyelwa elabhorethri ivame ukutholakala ngokushesha okukhulu. Ungathola umbiko zingakapheli amahora ambalwa noma usuku noma ezimbili . Lokhu kungahluka kancane kuye ngomthwalo womsebenzi wale labhorethri.

Kodwa imiphumela yalolo vivinyo lokuhlaba umunwe ingaziwa ngemizuzwana embalwa , ngakho-ke iwusizo kakhulu esimweni esiphuthumayo.

Ithini imiphumela yalolu vivinyo?

Umbiko owutholayo ukhombisa izinga lakho likashukela egazini lokuzila ukudla njengenombolo. Ake sibone ukuthi lawo manani asho ukuthini.

ESri Lanka, ngokuvamile sisebenzisa iyunithi ebizwa ngokuthi ama-milligrams nge-deciliter (mg/dL).

• Ngaphansi kuka-100 mg/dL: Leli izinga likashukela egazini elinempilo nelijwayelekile lokuzila ukudla. Kusho ukuthi amazinga akho kashukela asesimweni esihle. Akukho okufanele ukhathazeke ngakho!
• Uma kuphakathi kuka-100 mg/dL no-125 mg/dL: Lokhu kusho ukuthi une -prediabetes.Kusho ukuthi izinga likashukela egazini lakho liphezulu kunejwayelekile, kodwa alikakafiki ezingeni elifanele lokubizwa ngokuthi isifo sikashukela. Lokhu kuyinto okufanele uyinake. Ngoba kusho ukuthi usengozini yokuthola isifo sikashukela esikhathini esizayo.
• 126 mg/dL noma ngaphezulu (kuqinisekisiwe izikhathi ezingaphezu kwesisodwa): Lokhu kubonisa ukuthi izinga likashukela egazini lakho liphezulu kakhulu . Lesi yisibonakaliso esiyinhloko sesifo sikashukela. Uma lokhu kwenzeka, udokotela wakho uzokwenza ezinye izivivinyo (njenge-HbA1c) ukuqinisekisa nokuqala ukwelashwa okudingekayo.

Okubalulekile: Eminye imibiko yelabhorethri yangaphandle ingasebenzisa iyunithi ehlukile ebizwa ngokuthi ama-millimoles ngelitha (mmol/L). Uma kunjalo, amanani alandelayo:

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* Uma kungaphansi kuka-5.6 mmol/L: Izinga elijwayelekile

* Uma phakathi kuka-5.6 mmol/L no-6.9 mmol/L: I-Prediabetes

* Uma i-7 mmol/L noma ngaphezulu (kuqinisekisiwe izikhathi ezingaphezu kwesisodwa): Isifo sikashukela

Ngakho-ke, isimo sakho sinqunywa inani elisembikweni wakho. Ngakho-ke, kubalulekile ukukhombisa udokotela umbiko ngokushesha nje lapho uwuthola futhi uwuqonda kahle.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Cabanga ukuthi izinga likashukela egazini lakho lokuzila ukudla likhuphuka kancane. Uma lokho kwenzeka, ungesabi. Akusikho ukuphela komhlaba.

Uma izinga likashukela liphezulu (Ushukela Ophezulu Egazini):

Udokotela wakho uzovame ukukucela ukuthi uphinde ukuhlolwa, ngosuku oluhlukile. Lokhu kwenzelwa ukuqinisekisa ukuthi umphumela wangaphambilini ulungile. Odokotela abahlonzi ngokuzenzakalelayo isifo sikashukela ngoba nje umphumela owodwa awujwayelekile. Ngokuvamile, isifo sikashukela sisolwa uma unamazinga kashukela egazini amabili noma ngaphezulu aphezulu. Ngaphezu kwalokho, ezinye izivivinyo, njenge -HbA1c (ukuhlolwa okubonisa amazinga kashukela egazini ajwayelekile ezinyangeni ezi-2-3 ezedlule) , zingenziwa.

Uma une-prediabetes:

Uma ukuhlolwa kuqinisekisa ukuthi "unesifo sikashukela sangaphambi kwesifo sikashukela ," udokotela wakho uzokutshela ukuthi ungasiza kanjani ukuletha amazinga kashukela egazini lakho ezingeni elinempilo. Lokhu kufaka phakathi izinguquko ekudleni kwakho (njengokunciphisa ushukela, ufulawa, nokudla okunamafutha kanye nokudla imifino eminingi, izithelo, kanye ne-fiber) kanye nomsebenzi womzimba (njengokuhamba okungenani imizuzu engama-30 ngosuku, ukuzivocavoca). Bazokucela nokuthi wenze ukuhlolwa okwengeziwe kukashukela egazini ngokuzila ukudla ngezikhathi ezithile. Imiphumela ingasiza ekunqumeni ukuthi uzoba yini nesifo "seSifo Sikashukela soHlobo 2" . Uma usiphatha kahle kulesi sigaba, ungavimbela isifo sikashukela ukuthi singabi khona noma usibambezele ngeminyaka. Lena into ebaluleke kakhulu!

Uma izinga likashukela egazini lakho liphansi (Ushukela Ophansi Egazini - I-Hypoglycemia):

Ngezinye izikhathi, uma umuntu onesifo sikashukela enezinga likashukela egazini elingaphansi kuka-70 mg/dL, kubhekwa njengoshukela ophansi egazini (i-hypoglycemia). Kodwa-ke, leli nani lingaba yinto evamile nakumuntu ongenaso isifo sikashukela, ikakhulukazi uma ebezila ukudla isikhathi eside. Uma lokhu kwenzeka, udokotela wakho uzokubuza ukuthi ngabe ube nezimpawu zikashukela ophansi egazini (njengokuqhaqhazela, ukujuluka ngokweqile, ukushaya kwenhliziyo, ukudideka, kanye nendlala enkulu) esikhathini esidlule. Bangase futhi bacele ukuhlolwa okwengeziwe ukuthola ukuthi ngabe lesi yisimo esiqhubekayo noma ukuthi sibangelwa esinye isimo (njengemithi ethile).

Kuvamile ukuzizwa wesaba futhi ukhathazekile kancane uma uzohlolwa kanje. Ungase ucabange, 'O, kuthiwani uma kukhona okungahambi kahle ngombiko?' Kodwa khumbula, uma unesifo esifana nesifo sikashukela, into ebaluleke kakhulu ukuthi welashwe ngokushesha okukhulu. Futhi, ukwenza izinguquko endleleni yokuphila ngesikhathi se-prediabetes kungenza umehluko omkhulu. Ngakho-ke, kufanele ubheke lesi sivivinyo njengesinyathelo sokuvikela nokuvikela impilo yakho yesikhathi esizayo. Uma unemibuzo mayelana nemiphumela yakho, udokotela wakho ukhona ukuze ayiphendule, akusize, futhi akusekele. Ungesabi!

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kulungile, kunamaphuzu ambalwa abalulekile okudingeka uwakhumbule kulokho esikhulume ngakho:

• Ukuhlolwa Koshukela Wegazi Okuzila Ukudla kuyindlela elula nebalulekile yokuhlola isifo sikashukela kanye nezimo ezihlobene naso (ikakhulukazi isifo sikashukela esingaphambi kwesikhathi).
• Ukuphela kwento okudingeka uyilungiselele lokhu ukuzila ukudla amahora angu-8-12 ngaphambi kokuhlolwa (ungaphuza amanzi).
• Imiphumela ingakutshela ukuthi amazinga akho kashukela ajwayelekile, ukuthi unesifo sikashukela esingaphambi kwesifo sikashukela, noma ukuthi unesifo sikashukela .
• Uma imiphumela ingajwayelekile, ungesabi futhi ulandele imiyalelo kadokotela wakho ngqo. Ukushintsha indlela yokuphila kungenza umehluko omkhulu esigabeni sangaphambi kwesifo sikashukela. Futhi uma unesifo sikashukela, ungaphila impilo enempilo ngokwelashwa nokuphathwa okufanele.
• Ukuhlolwa okufana nalokhu kuyingxenye yokunakekela impilo yakho. Ngakho ungesabi, futhi uthole lokhu kuhlolwa uma udokotela wakho ekuncoma. Ukutholwa kusenesikhathi kuyindlela engcono kakhulu yokuzivikela ezifweni eziningi.

Uma ufuna ukwazi okwengeziwe ngalokhu, ungesabi ukubuza udokotela womndeni wakho. Bazokutshela okwengeziwe. Ukuhlala uphilile kuyinto ebaluleke kakhulu!

Ushukela wegazi osheshayo, isifo sikashukela, ukuhlolwa kukashukela, isifo sikashukela esingaphambi kwesifo sikashukela, ushukela wegazi, ukuhlolwa kwezempilo, ukuhlolwa kwegazi